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General NPI Number Information
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NPI Number | 1619962388
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Entity Type | Individual
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Provider Name | MICHAEL HUELA PA
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Gender | Male
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Dates
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Enumeration Date | 09/19/2005
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 454 N JIM WRIGHT FWY
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City | WHITE SETTLEMENT
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State | TX
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Zip | 76108-1437
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Country | US
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Telephone | 682-703-4505
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Fax | 682-703-4510
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Provider Business Mailing Address
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Address Line | 5716 ROCKPORT LN
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City | HALTOM CITY
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State | TX
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Zip | 76137-2125
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Country | US
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Telephone | 512-545-8218
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA04829
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA 04829
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 04829
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License Number State | TX
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